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رکورد قبلیرکورد بعدی
نوع مدرک : TF
زبان مدرک : فارسی
شماره رکورد : 67055
شماره مدرک : ‭پ۵۳۵۳۳‬
شماره راهنما : ‭ت۲۵۷۸‬
سر شناسه : ابراهیمی، بابک
عنوان اصلي : بررسی تغییرات قند خون بعد از بی حسی اسپاینال توسط بوپیواکائین در عمل جراحی سزارین
نام عام مواد : [پایان‌نامه]
نام نخستين پديدآور : /بابک ابراهیمی
نام ساير پديدآوران : ؛استاد راهنما: علیرضا شریفیان عطار
نام ساير پديدآوران : ؛استاد مشاور: مصطفی موسوی تکیه، محمد تقی شاکری
عنوان ديگر : عنوان به انگلیسی‭Evaluation of blood suger variations during cesarean section under spinal anesthesia with Bupivacaine :‬
وضعيت نشر : دانشگاه علوم پزشکی مشهد، ‭۱۳۹۲‬، دانشکده پزشکی
صفحه شمار : ‮‭[۸۷]‬ ص.‬: نمودار
يادداشت : چکیده فارسی، چکیده انگلیسی
يادداشت : چاپی
خلاصه يا چکيده : ‭Introduction: Local anesthesia is a new method that in comparison with general anesthesia has fewer risks but metabolic response to stress of surgery in addition to increase of stress hormones in pregnant women causes increase in blood sugar. By starting analgesia with spinal anesthesia suddenly reducing catecholamines and cortisol concentration causes reduction in serum level of blood sugar. Methods: Following taking history of mothers and obtain satisfaction, monitoring and hydration (5ml / kg ringer solution), the mother's blood sugar level with glucometer controlled. Spinal anesthesia done with needle Quinke No. 24 by 3cc of bupivacaine 0.5 in sitting position and then glucose was measured 15 min after spinal anesthesia and in recovery room. Results: Ninety pregnant had a mean age of 29/93‬▒‭5/9 years old with an average weight of 74/04‬▒‭8/9 Kg , and the mean gestational age of 39/0‬▒‭0.74 weeks. Mean changes in blood glucose during the first 15 minutes and the mean change between before spinal and in recovery room in the three groups that have different NPO time is not significant. (Pvalue 0/713 and 0/87) Average glucose before anesthesia 90.74‬▒‭19 and after it 88/42‬▒‭anesthetic and in recovery room 96.16 -18/9 were not significantly different (Pvalue=0/103), but differences between mean blood glucose before‬▒‭21 is significant. (Pvalue=0/001) Conclusion: In comparison between blood sugar before anesthesia and in recovery room , significantly increase of blood sugar at recovery exists not in hyperglycemic range therefore during spinal anesthesia with bupivacaine monitoring of blood sugar is not necessary. Keywords: Spinal Anesthesia, Cesarean Section, Bupivacaine, Blood Sugar‬
 
 
 
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